Improving safety culture in hospitals: Facilitators and barriers to implementation of Systemic Falls Investigative Method (SFIM)
| Autor: | Anita Kothari, Charity Ngo, Alvin Ho-ting Li, Michelle Halligan, Aleksandra Zecevic |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Rehabilitation hospital
Canada Safety Management medicine.medical_specialty Geriatric rehabilitation media_common.quotation_subject Hospitals General Rehabilitation Centers 03 medical and health sciences Patient safety 0302 clinical medicine Promotion (rank) Nursing Surveys and Questionnaires Acute care medicine Humans 030212 general & internal medicine Safety culture media_common 030503 health policy & services Health Policy Public Health Environmental and Occupational Health General Medicine Focus Groups Focus group Cross-Sectional Studies Geriatrics Accidental Falls Patient Safety 0305 other medical science Psychology Hospital accreditation |
| Zdroj: | International Journal for Quality in Health Care. 29:371-377 |
| ISSN: | 1464-3677 1353-4505 |
| DOI: | 10.1093/intqhc/mzx034 |
| Popis: | Objective The purpose of this study was to assess the facilitators and barriers to implementation of the Systemic Falls Investigative Method (SFIM) on selected hospital units. Design A cross-sectional explanatory mixed methods design was used to converge results from a standardized safety culture survey with themes that emerged from interviews and focus groups. Findings were organized by six elements of the Ottawa Model of Research Use framework. Setting A geriatric rehabilitation unit of an acute care hospital and a neurological unit of a rehabilitation hospital were selected purposefully due to the high frequency of falls. Participants Hospital staff who took part in: surveys (n = 39), interviews (n = 10) and focus groups (n = 12), and 38 people who were interviewed during falls investigations: fallers, family, unit staff and hospital management. Intervention Implementation of the SFIM to investigate fall occurrences. Main outcome measure(s) Percent of positive responses on the Modified Stanford Patient Safety Culture Survey Instrument converged with qualitative themes on facilitators and barriers for intervention implementation. Results Both hospital units had an overall poor safety culture which hindered intervention implementation. Facilitators were hospital accreditation, strong emphasis on patient safety, infrastructure and dedicated champions. Barriers included heavy workloads, lack of time, lack of resources and poor communication. Conclusions Successful implementation of SFIM requires regulatory and organizational support, committed frontline staff and allocation of resources to identify active causes and latent contributing factors to falls. System-wide adjustments show promise for promotion of safety culture in hospitals where falls happen regularly. |
| Databáze: | OpenAIRE |
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